Chapter 12 · Your Voice

Talking About Ulcerative Colitis

It should be completely up to you if, when, how, and how much you want to open up about your condition, and to whom.

Some people: like your parents, siblings, or your medical team, will need to know more about your symptoms and life and challenges. Other people don’t need to know as much. Never feel pressured to share information you are not comfortable with.

Talking About UC with Others

People may notice changes and ask questions, usually out of concern. Thinking ahead can help you feel more prepared.

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Your face and body

People may ask about changes they notice, for example weight gain or a fuller face. These can be side effects of corticosteroids.

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Less energy in sport

You may be asked why you seem to have less energy in sport, possibly due to a flare-up or anemia.

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Missing school

People may wonder why you have been missing school or activities.

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It’s okay to feel a lot Being diagnosed with a chronic disease like ulcerative colitis can make you feel sad, anxious, or even depressed at times. This is completely normal. Coping with a chronic condition is hard, so don’t feel bad or ashamed about seeking extra help. Talk to your medical team about ways to support your mental health.

Talking About UC in School and at Work

Opening up to school administration or employers might make sense in some situations.

Speaking up is how you get what you need. If UC is affecting school, college or work, say so and ask about accommodations, that is what they are there for.

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At school or college

A 504 plan sets out adjustments so you can keep up with your peers, like missing class for appointments, using the bathroom whenever you need to, or extra time for tests. An IEP (Individualized Education Program) goes further and changes what and how you are taught. It is less common with UC.

More on both, and how they change once you start college, in Transition Into Adult Care chapter.

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At work

You do not have to bring up your UC in a job interview, and it is usually better not to. Interviews are about your qualifications. Once you have an offer, you can raise any accommodations you need.

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If any symptom is worrying you, contact your medical team. TeenHealthInsight is a health education resource, not a substitute for medical advice, diagnosis, or treatment from your doctor or gastroenterologist.
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